Rational management of papulopustular rosacea with concomitant facial seborrheic dermatitis: a case report.

OBJECTIVE: To report a case of papulopustular rosacea with concomitant seborrheic dermatitis and discuss how signs and symptoms were ameliorated using a rational therapeutic approach. DESIGN: Patient case report. SETTING: Clinical practice. PARTICIPANT: One male patient with rosacea, seborrheic dermatitis, and actinic keratoses. MEASUREMENTS: Change in signs and symptoms over time. RESULTS: Improved skin care practices and treatment with azelaic acid 15% gel twice daily in combination with low-dosage oral isotretinoin resulted in improvement in symptoms of both rosacea and seborrheic dermatitis. CONCLUSION: In patients with multiple skin disorders, use of medications with benefits for more than one of the skin conditions may, in some cases, reduce the overall number of medications needed, thus simplifying treatment.